2018
DOI: 10.1002/anie.201808615
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Revealing the Immunogenic Risk of Polymers

Abstract: Poly(ethylene glycol) (PEG) conjugation has been the gold standard to ameliorate the pharmacokinetic (PK) and immunological profiles of proteins. PEG polymer does become immunogenic once attached to proteins, evoking PEG-specific antibody (Ab) responses. The anti-PEG Abs could cause PEGylated biologic treatments to fail and even result in lethal adverse reactions. Thus the zwitterionic poly(carboxybetaine) (PCB) has been introduced as a PEG substitute for protein modification. Addressed herein is anti-polymer … Show more

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Cited by 99 publications
(91 citation statements)
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“…The immunogenicity of PEG and the seemingly random induction of APA responses by select PEGylated therapeutics remains poorly understood, and represents an area of active clinical and preclinical research. Current hypotheses point to a number of important factors implicated in the potential APA response including the molecular size of PEG, linker type, number of PEG polymer chains attached, and/or overall immunogenicity of the underlying therapeutic molecule [23][24][25] . Likewise, it remains poorly understood how APA can specifically bind to the highly flexible and hydrophilic PEG polymer, despite the absence of any fixed conformation to which Ab can directly dock to along the PEG polymer backbone.…”
mentioning
confidence: 99%
“…The immunogenicity of PEG and the seemingly random induction of APA responses by select PEGylated therapeutics remains poorly understood, and represents an area of active clinical and preclinical research. Current hypotheses point to a number of important factors implicated in the potential APA response including the molecular size of PEG, linker type, number of PEG polymer chains attached, and/or overall immunogenicity of the underlying therapeutic molecule [23][24][25] . Likewise, it remains poorly understood how APA can specifically bind to the highly flexible and hydrophilic PEG polymer, despite the absence of any fixed conformation to which Ab can directly dock to along the PEG polymer backbone.…”
mentioning
confidence: 99%
“…There are also opportunities for PSBMA–zwitterionic polymers to be an excellent stealth coating for delivering a range of protein therapeutics and without eliciting observable immune response. [ 81,82 ]…”
Section: Discussionmentioning
confidence: 99%
“…Lipid-modified PCBs were synthesized following Scheme 1 based on a previous study. [11] PCBs were obtained by reversible addition-fragmentation chain transfer polymerization. The degree of polymerization was 24 and 22 for PCB1 and PCB3, respectively, equivalent to that of PCB2, which did not induce anti-polymer antibodies when liposome modified.…”
Section: Synthesis Of Lipid-modified Pcbs and Liposome Preparationmentioning
confidence: 99%
“…[10][11] For polymeric compounds with a repeated structure, such as PEG and PCBs, to induce antibody production, B cell receptors (BCRs) on the B cell surface should be crosslinked to induce signaling that activates the B cell [21]. The PEGylated liposome is large enough (approximately 100 nm) to crosslink multiple BCRs.…”
mentioning
confidence: 99%